Individual
KIM MARIE DARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4001 MILLER RD, 2ND FLOOR, WILMINGTON, DE 19802-1961
(302) 764-2008
(302) 764-2019
Mailing address
PO BOX 392573, PITTSBURGH, PA 15251-9500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J10000401
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4562200
AETNA
DE
Enumeration date
05/11/2006
Last updated
10/02/2024
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